Subscription Form

Directions: Use tab key to move through the fields below and space bar to make selections. You can also use the mouse to click through the choices.

* I would like to receive BioProcess International.

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*What media format would you prefer?

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* First Name

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*What is your organization's primary business? (Please check one)?

Biological/Biopharmaceutical Mfg

Pharmaceutical Co (w/biotech focus)

Pharmaceutical Company

Biological/Biopharm Proc Development

Biodiagnostics/Delivery/Other Device

Biodiagnostic Process Development

Peptide Therapeutics/Oligos/Other

Biological Vaccines

Transgenic

Clinical Research Organization

Contract Research/Services

Contract Manufacturing/Services

Industrial/Specialty Chemicals

Government/Regulatory

Biotech/Biopharm Research

Business/Investment/Legal Services

Engineering

Cell/Gene Therapy

Consulting

Other

*What is your primary job function? (Please check one)

Research/Development

Laboratory Management

Technical/Analytical Services

Production/Manufacturing

Process Development

Project Management

Quality Assurance/Control/Validation

Regulatory Affairs/Clinical Affairs

Technology Transfer or IP/Legal

Business Development

Materials Mgmt/Purchasing/Logistics

Corporate Management

Business Advisor

Information Mgmt/Technology

Engineering

Other

*What is your job title? (Please check one)

Chemist

CEO/CFO/COO

Exec VP/VP

Laboratory Mgr

Research Associate

Research Scientist

Section Manager

Supervisor/Director

Engineer

Group Leader

Manager

Senior Analyst

Staff Scientist

Senior Scientist

PhD

Other

Which of the following product/services do you recommend/approve or influence the purchase of? (Please check all that apply)

Laboratory Products & Equipment

Biochemicals/Chemicals/Raw Materials

Computer Systems & Software

Contract Consulting and Services

Separation/Purification Equipment

Manufacturing Systems

Controlled Environments

Fermentation & Cell Culture Equipment

Engineering & Facility Design Svcs

Analytical Instrumentation/Reagents

Transgenic Production Systems & Svcs

Other

Which of the following process phase(s) does your current job responsibilities impact/influence?

Upstream Processing

Downstream Processing

Manufacturing

Analytical

Other

What role do you play in the acquisition of products/equipment and services?

I am the buyer

I am the approver

I am the recommender

None

May we contact you via e-mail regarding BioProcess products and services?

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No

May we contact you via e-mail regarding products and services from outside parties?